Retinal Detachments Following Open-Globe Injury: Risk Factors and Outcomes

Identify risk factors for retinal detachment (RD) following open globe injury (OGI) and evaluate outcomes of RD repair after OGI.Case-control study PARTICIPANTS: 769 patients presented with 786 OGIs which were surgically managed with at least 30 days of follow-up. Of the total, 223 eyes had a following RD, the other 551 served as controls, and 12 eyes RD status is unknown.A retrospective chart review was performed of all OGIs presenting to the University of Michigan between 2000 and 2022. Multivariable regression identified risk factors for RD following OGI and predictors of poor vision after RD repair. Kaplan-Meier analysis estimated time from OGI to RD.Predictors of visual outcome following RD repair after OGI RESULTS: Following OGI, 223/786 (28.4%) eyes were diagnosed with RD with >73% diagnosed within a month. Predictors of RD include posterior injury (zone II vs I Odds Ratio (OR)=1.60 [95% CI 1.04-2.46], p=0.0331; zone III vs I OR=2.29 [1.53-3.41], p<0.0001), vitreous hemorrhage (OR=2.29 [1.54-3.1], p<0.0001), and presenting acuity worse than count fingers (CF) (OR=2.65 [1.69-4.16], p<0.0001). RD repair took place in 142/223 eyes, with re-detachment in 46 eyes. The mean Logarithm of Minimal Angle of Resolution Visual Acuity VA improved from 2.3±0.8 to 1.7±0.9 after RD repair at 6-month follow-up, with 51.2% of eyes achieving CF or better vision. Single surgery anatomic success rate was 69.7% and final anatomic success was 88%. Predictors of vision 更多